NPI | 1023537651 |
---|---|
Former Name | ERICA LYNN BERTINELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-09-14 |
Last Update Date | 2024-12-05 |